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Young Men's Christian Association of the Virginia Peninsulas
454 Oak Grove Road
Colonial beach, VA 22443
(804) 493-8163

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: May 17, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFFQUALIFICATIONS AND TRAINING.
8VAC20-780 PHYSICAL PLANT.
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 BACKGROUND CHECKS
22.1 EARLY CHILDHOOD CARE AND EDUCATION

Comments:
A monitoring inspection was conducted on May 17, 2022 and concluded on May 26, 2022. On May 17, 2022, the licensing inspector was onsite from approximately 4:00 pm until 5:30 pm. Staff assisted with the inspection. There were five children present, ranging in ages from five years to eight years, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and three staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on review of three staff records, the center did not obtain the results of a central registry request within 30 days of employment for one staff member.

Evidence:
The record of staff #2, hired 10/15/2021, had documentation of a central registry check dated 12/01/2021 exceeding 30 days of employment. There was no documentation of a follow up to check the status of the request.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-200-A
Description: Based on review of staff records and interview, the center did not maintain a qualified program director or a qualified back-up program director who met one of the director qualifications who was regularly on site 50% of the center?s hours of operation.

Evidence:
1. Staff stated the program director, staff #3, was on site approximately once a month and had not yet been on site during the month of May 2022.
2. The record of staff #1 and staff #2 did not have documentation to show where staff #1 or staff #2 met one of the director qualifications.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-245-L
Description: Based on review of staff records and interview, the center did not ensure there was always at least one staff member on duty who had obtained daily health observation training in the past three years.

Evidence:

1. The Records of staff #1 and staff #2 did not contain documentation of daily health observation training.
2. Staff #1 and staff #2 stated they did not have daily health observation training.
3. Staff #1 and staff #2 were the only staff on site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
Two of the metal doors in the gym had an area of approximately two feet of peeling paint. The paint was curled along the edge and came off when touched.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-B
Description: Based on observation, the center did not ensure hazardous materials such as cleaning materials were kept in a locked place using a safe locking method to prevent access by children in care.

Evidence:

Multiple canisters of cleaning products were observed unlocked on the window sill of the cafeteria where children were in care. Additional sanitizers were observed on the counter of the cafeteria.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-340-D
Description: Based on review of staff records and interview, the center did not ensure in each grouping of children, at least one staff member meets qualifications of a program leader or program director and are regularly present.

Evidence:
The records of staff #1 and staff #2 did not contain documentation of qualifications to meet program leader or program director. Staff #1 and staff #2 were the only staff on site. Staff stated the program director was not regularly on site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-340-F
Description: Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff.

Evidence:

Child #2, age seven, was observed asking for permission to use the restroom. Staff #1 replied that she could go. Child #2 was then observed exiting the cafeteria and entering the gym alone. The restrooms are located at the rear of the gym next to a door that exits the building. The restroom are not visible to staff in the cafeteria. Child #2 was out of sight and sound supervision.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-530-A
Description: Based on review of staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present had obtained current cardiopulmonary resuscitation (CPR) and current certification in first aid within 90 days of October 13, 2021.

Evidence:

1. The record for staff #1 (hired 02/07/2022) and staff #2 (hired 10/15/2021) did not contain documentation of current CPR certification and first aid certification.
2. Staff #1 and staff #2 stated they had not completed CPR & First aid training.
3. Staff #1 and staff #2 were the only staff on site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-D
Description: Based on review of the emergency evacuation drill log and interview, the center did not ensure a practice evacuation drill was conducted monthly.

Evidence:
The most recent evacuation drill was documented on 0303/09/2020. Staff stated evacuation drills had not been conducted during the 2021-2022 school year.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-E
Description: Based on review of the shelter-in-place drill log and interview, the center did not ensure a shelter-in-place drill was practiced a minimum of twice a year.

Evidence:
The most recent shelter-in-place drill was documented on 03/09/2020. There was no documentation of two shelter-in-place drill for the 2020-2021 school year. Staff Stated they had not conducted a shelter-in-place drill.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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